Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Shane A Maxwell, DO

Individual provider Interventional Pain Medicine Physician · NPI 1508825456

Mr. Shane A Maxwell, DO is a Pain Management in Meridian, Idaho. Graduated from University of North Texas Hsc, College of Osteopathic Med in 2001, 25 years ago. Practices with Idaho Physical Medicine and Rehabilitation PA, a 10-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Idaho.

Years since qualifying
25
Trained at
University of North Texas Hsc, College of Osteopathic Med
Licensed in
ID
In the registry since
2006
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

3551 E Overland Rd
Meridian, ID 83642-6757
Phone: (208) 884-1333
Fax: (208) 489-5188
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Pain Medicine Physician (primary) Taxonomy 208VP0014X · Licence O0385 (ID)

Record details

NPI number1508825456
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 20, 2006
Last updated in NPPESJuly 21, 2022
Mailing addressPo Box 1128, Boise, ID 83701-1128

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPAIN MANAGEMENT
Medical schoolUNIVERSITY OF NORTH TEXAS HSC, COLLEGE OF OSTEOPATHIC MED
Graduated 2001 (25 years in practice)
Group practice Idaho Physical Medicine And Rehabilitation Pa — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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